Individual provider · Type 1 NPI

Lisa M. Pezzulich, PSY.D.

Clinical Psychologist · Bennington, VT

NPI number 1417040767 Active

Practice location

160 Benmont Ave, Suite 20
Bennington, VT 05201-1873

Fax (802) 447-3392

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X048-0000729 (VT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1417040767

Lisa M. Pezzulich, PSY.D.'s National Provider Identifier is 1417040767, issued on Oct 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bennington, VT. The record was last updated on Jul 22, 2010.